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Archive for April, 2010

Acute respiratory distress following the inhalation of an aerosol upholstery cleaner: the importance of reporting from the Emergency Department

27 Apr, 10 | by BMJ

We are exposed to many potential chemical hazards especially at work and this case report highlights the importance of clear labelling on products. Often, in Emergency Departments, the potential irritant is brought in with the patient and, out of hours, may sometimes be the only source of information about the potential hazard. The UK National Poisons Information Service (and similar organisations internationally) is invaluable in these circumstances but they must be made aware of new cases. The authors of this case report describe such an event and how it altered the packaging of the aerosol.

Acute respiratory distress following the inhalation of an aerosol upholstery cleaner: the importance of reporting from the Emergency Department

Ruptured abdominal aortic aneurysm presenting as testicular pain

21 Apr, 10 | by BMJ

Ruptured aortic aneurysm can present in many a varied manner and this case describes one particularly unusual presentation. Very few cases have been reported in the literature of testicular pain being the presenting feature of ruptured abdominal aortic aneurysm.

http://casereports.bmj.com/content/2009/bcr.08.2008.0614.full?sid=c103f5b2-d8fd-4963-b368-fb74a30616e7

Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease

15 Apr, 10 | by BMJ

This case describes a patient with a complex medical history and unstable INR on warfarin. The authors describe the likely cause of the instability and demonstrate the use of oral supplementation with Vitamin K. We have all experienced patients with unstable INR (admittedly not usually as complex as this patient) and that makes this case all the more interesting.

Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease

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